Individual
MARISSA ROSE KUBALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, COBA
Contact information
Practice address
36711 AMERICAN WAY, AVON, OH 44011-4062
(216) 282-1234
Mailing address
3989 BRADLEY RD, WESTLAKE, OH 44145-5008
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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